February 2024 • Volume 18, No. #2

From the Editor

Winter sports are upon us. Shout out to the Professional Women’s Hockey League, PWHL, a new league made up of Canadian and U.S. franchises, in its inaugural season right now!

This month, in honor of National Girls and Women in Sports Day in early February, we take a look at women in sports and some orthopedic injuries that can bring players into the OR. Considering basketball, gymnastics, skiing, skating and, yes, hockey, there are plenty of opportunities for a gal to get injured and for surgical personnel to be challenged.

In fact, Downhill World Cup leader Sofia Goggia is out for the rest of the season after a significant crash in training resulted in a fractured right tibia and malleolus bone.

In the Spotlight is Destinie Stone, FNP-C, of Lubbock, TX.

Later in the issue you’ll find jobs we’ve collected for you as well as NIFA’s favorite links.


Julie Lancaster, Editor

Photo by Victoria VIAR PRO on Adobe Stock

Injuries for Female Hockey Players

Common Injuries in Ice Hockey

“Of all sports competing in the 2010 Olympics, the risk of injury was greatest for ice hockey players,” writes Tammy Kovaluk, MS, CSCS, FMS-2, in a 2023 article from the National Strength and Conditioning Association. That’s partly because ice hockey is a high-speed contact sport and includes the “shoulder check,” which inherently increases the risk of shoulder injury, specifically Acromioclavicular (AC) joint injuries. Kovaluk goes on to point out that the knee is the most commonly injured site, accounting for 48.6% of lower body injuries, including ACL injuries, some of which may require surgery.
Read more. . .

Are There Differences in Ice Hockey Injuries Between Sexes?

A systematic review of articles from scientific journals, published in 2014, found that men sustained higher rates of injuries than women at all age levels, and both sexes sustained at least twice as many injuries in games than practices. . . . men had higher rates of upper extremity injuries (shoulder), while women were found to sustain more injuries to the lower extremity (thigh, knee).
Read more. . .

Injuries in Women’s International Ice Hockey: An 8-year Study of the World Championship Tournaments and Olympic Winter Games

This study, published in 2016, pointed out the benefits of full facial protection and called for more effective prevention strategies for knee, ankle and shoulder injuries, as well as improved concussion education.
Read more. . .

Photo by master1305 on Adobe Stock

‘It felt like somebody had hit a hammer through my knee’: The Crisis of ACL Injuries in Women’s Football [Soccer]

Now, soccer isn’t a winter sport in most of North America, but this is interesting: “Women players are up to eight times more likely to be struck by an ACL injury than men,” wrote Suzanne Wrack in The Guardian this month. “As many as 37 players are thought to have missed last year’s World Cup because of it.” The article examines contributing factors, from anatomy and biomechanics to training processes and boot design.
Read more . . .

Photo by master1305 on Adobe Stock


Arthroscopically Assisted Treatment of Acute Dislocations of the Acromioclavicular Joint
Watch video . . .


ACL Preservation Using the ACL Repair
Watch video . . .


Most Common Winter Sport Injuries and Treatment Options
Watch video . . .


In The Spotlight: Destinie Stone


Student Status
Current status in NIFA’s RNFA program

City & State
Lubbock, TX

Current Position
My current position is Family Nurse Practitioner. I work in a clinic setting for a very busy sports medicine group. I am in the clinic about 2-3 days a week working up new patients and providing follow-up care for established patients. I see everything from osteoarthritis to acute fractures; my main focus is preparing patients for joint replacement. The other half of the time I am in the OR with my supervising physician, assisting him. I also round on our surgical patients while they are in the hospitals. This helps provide continuity of care and gives them peace of mind, knowing I am familiar with their specific situation. I help in three different hospitals/surgical centers as well as working at the sports medicine clinic.

Where did you get your RN degree?
Covenant School of Nursing, Lubbock TX

How did you come to choose perioperative nursing?
I chose nursing as my career path because I love to look at the patient from a holistic view. I also chose nursing because my grandmother had a very bad experience while hospitalized and we felt helpless. I didn’t want her to avoid seeking care because of that experience. I knew if I had the knowledge to navigate the health system it would put her at ease and she would be willing to get help when she was sick. We lost her in 2013 to lung cancer and I was able to take care of her on my unit along with my peers and I knew she received the best care possible. So it all paid off in the end.

What is one technique or RNFA trick you’ve learned from NIFA that you will use for life?
The oval in trocar tie.

How do you feel having your RNFA will impact your life/career?
Make things a lot easier.

Jobs Front

Click here for the RNFA job postings we’ve collected for you this month.

NIFA – Office Hours

Monday-Thursday, 8:00am – 5:00pm
Friday, 8:00am – 4:00pm

Practice Resources

Here are several of the most-in-demand sites for our students, prospective students and grads:

MD Edge Surgery News: Specialty News and Commentaries, Videos and More
RNFA Scope of Practice by State (PDF)
ACS List of Cases that Require an Assistant at Surgery, 2020 (PDF)
Perioperative Nurse Links (state nursing boards & professional associations)
APRN Nurse Links

Disclaimer: The views expressed in this newsletter are strictly those of their respective authors and do not necessarily represent the views of NIFA. NIFA does not give any express or implied warranty as to the accuracy of statements made by our contributors and does not accept any liability for error or omission. It is the responsibility of all perioperative personnel to work within and adhere to their facility bylaws and individual scope of practice.